Stipic-Petrovic, Desanka

Stipic-Petrovic, Desanka is an individual health care provider with primary practice located at 19900 E. 10 Mile Road Suite 102, St. Clair Shores MI 48080-4412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Stipic-Petrovic, Desanka can be contacted via phone (586) 776-3366.

Contact Information

Primary practice address
19900 E. 10 Mile Road Suite 102 St. Clair Shores MI 48080-4412
Phone: (586) 776-3366
Fax: (586) 774-1808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 060579 Michigan

Profile Details

NPI number 1174527436
LBN Legal business name Stipic-Petrovic, Desanka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Oct 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174527436 NPPES
Michigan MEDICAID 3018457 TYPE10

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